{
"description": null,
"_filename": "examples/MI_SplittingExample.json.json",
"package_name": "ca.on.oh-eforms",
"subjectType": [ "Patient" ],
"date": "2026-01-28T16:19:05.195-05:00",
"publisher": "Ontario Health & Amplify Care",
"jurisdiction": [ {
"text": "Ontario",
"coding": [ {
"code": "CA-ON",
"system": "urn:iso:std:iso:3166:-2"
} ]
} ],
"name": null,
"item": [ {
"text": "Notes",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please note that screening programs such the Ontario Breast Screening Program (OBSP) and Ontario Lung Screening Program (OLSP) have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms."
} ]
},
"linkId": "283714301370"
}, {
"item": [ {
"text": "Surname:",
"type": "string",
"linkId": "patient_surname",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Surname"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "First Name:",
"type": "string",
"linkId": "patient_firstname",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "First Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "DOB:",
"type": "date",
"linkId": "patient_date_of_birth",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString": "yyyy/MM/dd"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "DOB"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Gender:",
"type": "choice",
"linkId": "patient_gender",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Gender"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "male",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Male"
}
}, {
"valueCoding": {
"code": "female",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Female"
}
}, {
"valueCoding": {
"code": "other",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Other"
}
} ]
}, {
"text": "HN PC:",
"type": "string",
"linkId": "patient_hc_pc",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN PC"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 2
}, {
"text": "HN:",
"type": "string",
"linkId": "patient_hc_number",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 10
}, {
"text": "HN VC:",
"type": "string",
"linkId": "patient_hc_vc",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 10
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN VC"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 1):",
"type": "string",
"linkId": "patient_address_line1",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 2):",
"type": "string",
"linkId": "patient_address_line2",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address Line 2"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "City:",
"type": "string",
"linkId": "patient_address_city",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "City"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Province:",
"type": "string",
"linkId": "patient_address_province",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Province"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 2
}, {
"text": "Postal Code:",
"type": "string",
"linkId": "patient_address_postalcode",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "postalcode1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid Canadian postal code in the format A1A 1A1."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Postal Code"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Mobile #:",
"type": "string",
"linkId": "patient_phone_mobile",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_mobile').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Mobile #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Home #:",
"type": "string",
"linkId": "patient_phone_home",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone2"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_home').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Home #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Business #:",
"type": "string",
"linkId": "patient_phone_business",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone3"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_business').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Business #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Email:",
"type": "string",
"linkId": "patient_email",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "email1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_email').answer.all(value.matches('(?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\\\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\\\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid email address."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Email"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Patient Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Patient Information"
} ]
},
"linkId": "patient_header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 1
}, {
"url": "text",
"valueString": "Patient Information"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Sex assigned at birth:",
"type": "choice",
"linkId": "additionalinfo_sexassignedatbirth",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Sex assigned at birth"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "LA3-6",
"system": "http://loinc.org",
"display": "Female"
}
}, {
"valueCoding": {
"code": "LA2-8",
"system": "http://loinc.org",
"display": "Male"
}
}, {
"valueCoding": {
"display": "Intersex"
}
}, {
"valueCoding": {
"code": "LA4489-6",
"system": "http://loinc.org",
"display": "Unknown"
}
} ]
}, {
"text": "Pronouns:",
"type": "choice",
"linkId": "additionalinfo_pronouns",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Pronouns"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "LA29519-8",
"system": "http://loinc.org",
"display": "She/Her"
}
}, {
"valueCoding": {
"code": "LA29518-0",
"system": "http://loinc.org",
"display": "He/Him"
}
}, {
"valueCoding": {
"code": "LA29519-8",
"system": "http://loinc.org",
"display": "They/Them"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Other pronouns:",
"type": "string",
"linkId": "additionalinfo_pronouns_other",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other Pronouns"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_pronouns",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Preferred language:",
"type": "choice",
"linkId": "additionalinfo_preferredlanguage",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred language"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "en",
"system": "urn:ietf:bcp:47",
"display": "English"
}
}, {
"valueCoding": {
"code": "fr",
"system": "urn:ietf:bcp:47",
"display": "French"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Specify:",
"type": "string",
"linkId": "additionalinfo_preferredlanguage_specify",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Specify"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Translator required",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Translator required"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"display": "Other"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Translator Required"
}
} ]
}, {
"text": "Preferred name",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_preferredname_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Preferred Name"
}
} ]
}, {
"text": "Prefered name String",
"type": "string",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_preferredname",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Name:"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredname_select",
"answerCoding": {
"display": "Preferred Name"
}
} ],
"enableBehavior": "all"
}, {
"text": "Best method of contact:",
"type": "choice",
"linkId": "additionalinfo_bestmethodofcontact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Best method of contact"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Mobile"
}
}, {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Home"
}
}, {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Business"
}
}, {
"valueCoding": {
"code": "email",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Email"
}
} ]
}, {
"text": "Voicemails acceptable",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Voicemails acceptable"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.descendants() .where(linkId = 'additionalinfo_bestmethodofcontact') .answer.valueCoding .where(display.lower() = 'home' or display.lower() = 'mobile' or display.lower() = 'business') .exists()"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": " Voicemails acceptable"
}
} ],
"enableBehavior": "any"
}, {
"text": "Alternate contact",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_alternatecontact_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Alternate contact"
}
} ]
}, {
"text": "Name:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_name",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Alternate contact phone #:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone4"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact phone #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Relationship:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_relationship",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Relationship"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Is Alternate contact the appointment booking contact?:",
"type": "choice",
"linkId": "additionalinfo_alternatecontact_bookingcontact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Is Alternate contact the appointment booking contact?"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"answerOption": [ {
"valueCoding": {
"display": "Yes"
}
}, {
"valueCoding": {
"display": "No"
}
} ],
"enableBehavior": "all"
}, {
"text": "Unsafe contact persons (do not speak with)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_unsafecontacts_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Unsafe contact persons (do not speak with)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ]
}, {
"enableBehavior": "all",
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"repeats": true,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_unsafecontacts_select",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"valueCoding": {
"display": "Only speak with patient directly"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Only speak with patient directly"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"text": "Only speak with patient directly"
}, {
"text": "Do not speak with:",
"type": "string",
"linkId": "additionalinfo_unsafecontacts_donotspeakwith",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Do not speak with:"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_unsafecontacts_select",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ],
"enableBehavior": "all"
}, {
"text": "Accessibility concerns or disability",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Accessibility concerns or disability"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Accessibility concerns or disability"
}
} ]
}, {
"text": "Accessibility concerns Options",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "additionalinfo_accessibilityconcernsordisability",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Specific"
}, {
"url": "listSeparator",
"valueString": ";"
}, {
"url": "lastSeparator",
"valueString": "and"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_accessibilityconcernsordisability_selectt",
"answerCoding": {
"display": "Accessibility concerns or disability"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "129839007",
"system": "http://snomed.info/sct",
"display": "Falls risk"
}
}, {
"valueCoding": {
"code": "301621006",
"system": "http://snomed.info/sct",
"display": "Patient requires lift"
}
}, {
"valueCoding": {
"code": "105503008",
"system": "http://snomed.info/sct",
"display": "Wheelchair"
}
}, {
"valueCoding": {
"code": "15188001",
"system": "http://snomed.info/sct",
"display": "Hearing impaired"
}
} ]
}, {
"text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_specialconsiderations_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Special considerations"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
} ]
}, {
"text": "Details of special considerations:",
"type": "text",
"linkId": "additionalinfo_specialconsiderations",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": " Details of special considerations"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_specialconsiderations_select",
"answerCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
} ]
}, {
"text": "Payer Type",
"type": "choice",
"linkId": "780152781664",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Payer Type"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"display": "OHIP"
},
"initialSelected": true
}, {
"valueCoding": {
"display": "WSIB Case"
}
}, {
"valueCoding": {
"display": "DND"
}
}, {
"valueCoding": {
"display": "IFH"
}
}, {
"valueCoding": {
"display": "RAMQ"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Other",
"type": "string",
"linkId": "273459321091",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other payer"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "780152781664",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
} ],
"text": "[Optional] Additional Patient Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "[Optional] Additional Patient Information
"
} ]
},
"linkId": "additionalinfo_header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 2
}, {
"url": "text",
"valueString": "[Optional] Additional Patient Information"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Radiology modality selection",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "966479448516",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
}, {
"valueCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
}, {
"valueCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
}, {
"valueCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasound Requisition"
}
}, {
"valueCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ]
} ],
"text": "Select Exam Request(s)",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ", 250, 253); color: rgb(32, 32, 53);\">Select Exam Request(s)
"
} ]
},
"linkId": "274716928898",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 3
}, {
"url": "text",
"valueString": "Select Exam Request(s)"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Requested Priority:",
"type": "choice",
"linkId": "649843000897",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Requested Priority",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "Requested Priority"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "routine",
"system": "http://hl7.org/fhir/request-priority",
"display": "Routine"
},
"initialSelected": true
}, {
"valueCoding": {
"code": "urgent",
"system": "http://hl7.org/fhir/request-priority",
"display": "Urgent"
}
} ]
}, {
"text": "Reason for urgent triage",
"type": "string",
"linkId": "871328372177",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for urgent triage"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "649843000897",
"answerCoding": {
"code": "urgent",
"system": "http://hl7.org/fhir/request-priority",
"display": "Urgent"
}
} ],
"enableBehavior": "all"
} ],
"text": "Triage Considerations",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Triage Considerations Information appear on summary note for ALL child referrals
"
} ]
},
"linkId": "324277291256",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 4
}, {
"url": "text",
"valueString": "Triage Considerations"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasonography"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ],
"enableBehavior": "any"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "573180718837",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam: $$"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "CT Request: Clinical History / Indication - Information appear on summary note for CT child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "CT Request: Clinical History / Indication - Information appear on summary note for CT child referrals
"
} ]
},
"linkId": "751330438729",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 5
}, {
"url": "text",
"valueString": "CT Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "980027687215",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam: $$"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "MRI Request: Clinical History / Indication - Information appear on summary note for MRI child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
MRI Request: Clinical History / Indication - Information appear on summary note for MRI child referrals
"
} ]
},
"linkId": "234264354051",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 6
}, {
"url": "text",
"valueString": "MRI Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "510703120136",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam: $$"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "X-Ray Request: Clinical History / Indication - Information appear on summary note for XRAY child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
X-Ray Request: Clinical History / Indication - Information appear on summary note for XRAY child referrals
"
} ]
},
"linkId": "674405234837",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 7
}, {
"url": "text",
"valueString": "X-Ray Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "296349058128",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam: $$"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Ultrasound Request: Clinical History / Indication - Information appear on summary note for Ultrasound child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Ultrasound Request: Clinical History / Indication - Information appear on summary note for Ultrasound child referrals
"
} ]
},
"linkId": "536888455666",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 8
}, {
"url": "text",
"valueString": "Ultrasound Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasonography"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "799876967585",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam: $$"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "BMD Request: Clinical History / Indication - Information appear on summary note for BMD child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
BMD Request: Clinical History / Indication - Information appear on summary note for BMD child referrals
"
} ]
},
"linkId": "189996950901",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 9
}, {
"url": "text",
"valueString": "BMD Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Previous Relevant Imaging (if applicable)",
"type": "text",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Previous Relevant Imaging (if applicable)
"
} ]
},
"linkId": "707642937857",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam: $$"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Supporting Documentation",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Supporting Documentation
"
} ]
},
"linkId": "351905130587",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 10
}, {
"url": "text",
"valueString": "Supporting Documentation"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "CPP attached separately (if not entered below)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "cpp_separate",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "CPP attached separately"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ]
}, {
"code": [ {
"code": "55607006",
"system": "http://snomed.info/sct",
"display": "Problem"
} ],
"text": "Current Problem List:",
"type": "text",
"linkId": "cpp_currentprob",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Problem List"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "417662000",
"system": "http://snomed.info/sct",
"display": "History of clinical finding in subject"
} ],
"text": "Past Medical History:",
"type": "text",
"linkId": "cpp_pastmedicalhistory",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Past Medical History"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "129019007",
"system": "http://snomed.info/sct",
"display": "Taking medication"
} ],
"text": "Current Medications:",
"type": "text",
"linkId": "cpp_currentmedications",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Medication"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "57177007",
"system": "http://snomed.info/sct",
"display": "Family history with explicit context"
} ],
"text": "Family History:",
"type": "text",
"linkId": "cpp_familyhistory",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Family History"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "609328004",
"system": "http://snomed.info/sct",
"display": "Allergic disposition"
} ],
"text": "Allergies:",
"type": "text",
"linkId": "cpp_allergies",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Allergies"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
} ],
"text": "Cumulative Patient Profile",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Cumulative Patient Profile
\nPlease delete any sensitive information you do not intend to share from the CPP"
} ]
},
"linkId": "cpp_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 11
}, {
"url": "text",
"valueString": "Cumulative Patient Profile"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Preferred consultant or location",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "preferredconsultlocation_selector",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred consultant or location"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Preferred consultant or location"
}
} ]
}, {
"item": [ {
"text": "Consultant:",
"type": "string",
"linkId": "preferredconsultlocation_consultant",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Consultant"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Location:",
"type": "string",
"linkId": "preferredconsultlocation_location",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Location"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Please specify either a preferred consultant or location",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please specify either a preferred consultant or location"
} ]
},
"linkId": "preferredconsultlocation_specify",
"enableWhen": [ {
"operator": "=",
"question": "preferredconsultlocation_selector",
"answerCoding": {
"display": "Preferred consultant or location"
}
} ]
}, {
"text": "Patient willing to travel for shorter wait time",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "preferredconsultlocation_willingtotravel",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Patient willing to travel for shorter wait time"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Patient willing to travel for shorter wait time"
}
} ]
}, {
"text": "Other considerations:",
"type": "string",
"linkId": "preferredconsultlocation_otherconsiderations",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Preferred Consultant or Location",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Preferred Consultant or Location
\nAll patients will be triaged to the shortest wait time unless a preferred consultant or location is entered."
} ]
},
"linkId": "preferredconsultlocation_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 12
}, {
"url": "text",
"valueString": "Preferred Consultant or Location"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient.",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "supportingdocumentation_details",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"display": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
}
} ]
} ],
"text": "Supporting Documentation Header",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Supporting Documentation
Please attach all relevant laboratory and diagnostic investigations.
"
} ]
},
"linkId": "supportingdocumentation_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 13
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"text": "Add Attachments",
"type": "attachment",
"linkId": "supportingdocumentation_attachment",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/gif"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/bmp"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "video/mp4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/csv"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/jpeg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/png"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/plain"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mp4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mpeg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/tiff"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 1024000
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 14
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Feedback Survey: Universal",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Click here to provide feedback on this form
"
} ]
},
"linkId": "feedbacksurvey_universal"
}, {
"item": [ {
"text": "Site Name:",
"type": "string",
"linkId": "referrer_sitename",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Site Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 1):",
"type": "string",
"linkId": "referrer_address_line1",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address (Line 1)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 2):",
"type": "string",
"linkId": "referrer_address_line2",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address (Line 2)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "City:",
"type": "string",
"linkId": "referrer_address_city",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "City"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Province:",
"type": "string",
"linkId": "referrer_address_province",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Province"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 2
}, {
"text": "Postal Code:",
"type": "string",
"linkId": "referrer_address_postalcode",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "postalcode2"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
}
}, {
"url": "human",
"valueString": "Must be a valid Canadian postal code"
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Postal Code"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Phone #:",
"type": "string",
"linkId": "referrer_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone5"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Phone #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Fax #:",
"type": "string",
"linkId": "referrer_fax",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone6"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_fax').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Fax #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Billing Number:",
"type": "integer",
"linkId": "referrer_billing",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Billing Number"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Professional ID:",
"type": "integer",
"linkId": "referrer_professionalid",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Professional ID"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Signed:",
"type": "text",
"linkId": "referrer_signature",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Signed"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Role:",
"type": "choice",
"linkId": "referrer_role",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Role"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "309398001",
"system": "http://snomed.info/sct",
"display": "Allied Health Professional"
}
}, {
"valueCoding": {
"code": "62247001",
"system": "http://snomed.info/sct",
"display": "Family Physician"
}
}, {
"valueCoding": {
"code": "449161006",
"system": "http://snomed.info/sct",
"display": "Physician Assistant"
}
}, {
"valueCoding": {
"code": "398130009",
"system": "http://snomed.info/sct",
"display": "Medical Student"
}
}, {
"valueCoding": {
"code": "106292003",
"system": "http://snomed.info/sct",
"display": "Nurse"
}
}, {
"valueCoding": {
"code": "224571005",
"system": "http://snomed.info/sct",
"display": "Nurse Practitioner"
}
}, {
"valueCoding": {
"code": "405277009",
"system": "http://snomed.info/sct",
"display": "Resident"
}
}, {
"valueCoding": {
"code": "69280009",
"system": "http://snomed.info/sct",
"display": "Specialist"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
} ],
"text": "Referrer's Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Referrer's Information"
} ]
},
"linkId": "referrer_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 15
}, {
"url": "text",
"valueString": "Referrer's Information"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
} ],
"type": null,
"experimental": "false",
"resourceType": "Questionnaire",
"title": "Medical Imaging - Standardized Provincial Form Template - Splitting Example",
"_description": {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test description"
} ]
},
"package_version": "1.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "random"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
} ],
"contained": [ {
"id": "liquid",
"type": {
"coding": [ {
"code": "qr-narrative-liquid",
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types"
} ]
},
"status": "active",
"content": [ {
"data": "<div>
{% for currentItem in QuestionnaireResponse.item.where(linkId='patient_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Patient Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='patient_surname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Surname&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_firstname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;First Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_date_of_birth') %}{% if currentItem.answer.exists() %}&lt;strong&gt;DOB&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_gender') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Gender&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'male' %}Male{% endif %}{% if answer.value.code = 'female' %}Female{% endif %}{% if answer.value.code = 'other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_pc') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;HN PC&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_number') %}{% if currentItem.answer.exists() %}&lt;strong&gt;HN&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_vc') %}{% if currentItem.answer.exists() %}&lt;strong&gt;HN VC&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_line1') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Address&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_line2') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address Line 2&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_city') %}{% if currentItem.answer.exists() %}&lt;strong&gt;City&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_province') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Province&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_postalcode') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Postal Code&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_mobile') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Mobile #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_home') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Home #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_business') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Business #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_email') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Email&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='additionalinfo_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;[Optional] Additional Patient Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='additionalinfo_sexassignedatbirth') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Sex assigned at birth&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'LA3-6' %}Female{% endif %}{% if answer.value.code = 'LA2-8' %}Male{% endif %}{% if answer.value.display = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'LA4489-6' %}Unknown{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Pronouns&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'LA29519-8' %}She/Her{% endif %}{% if answer.value.code = 'LA29518-0' %}He/Him{% endif %}{% if answer.value.code = 'LA29519-8' %}They/Them{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns_other') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other Pronouns&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred language&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'en' %}English{% endif %}{% if answer.value.code = 'fr' %}French{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_specify') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Specify&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_translatorrequired') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Translator required&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Translator Required' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname_select') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred name&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred Name' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred Name:&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Best method of contact&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'phone' %}Mobile{% endif %}{% if answer.value.code = 'phone' %}Home{% endif %}{% if answer.value.code = 'phone' %}Business{% endif %}{% if answer.value.code = 'email' %}Email{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact_voicemails') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Voicemails acceptable&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = ' Voicemails acceptable' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Alternate contact&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Alternate contact' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_name') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_phone') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Alternate contact phone #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_relationship') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Relationship&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_bookingcontact') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Is Alternate contact the appointment booking contact?&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Yes' %}Yes{% endif %}{% if answer.value.display = 'No' %}No{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Unsafe contact persons (do not speak with)&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Unsafe contact persons (do not speak with)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_speakwithpatientdirectly') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Only speak with patient directly&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Only speak with patient directly' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_donotspeakwith') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Do not speak with:&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability_selectt') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Accessibility concerns or disability&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Accessibility concerns or disability' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Specific&lt;/strong&gt;</span>
{% for answer in currentItem.answer %}{% if answer.value.code = '129839007' %}Falls risk{% endif %}{% if answer.value.code = '301621006' %}Patient requires lift{% endif %}{% if answer.value.code = '105503008' %}Wheelchair{% endif %}{% if answer.value.code = '15188001' %}Hearing impaired{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Special considerations&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations') %}{% if currentItem.answer.exists() %}&lt;strong&gt; Details of special considerations&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='780152781664') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Payer Type&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'OHIP' %}OHIP{% endif %}{% if answer.value.display = 'WSIB Case' %}WSIB Case{% endif %}{% if answer.value.display = 'DND' %}DND{% endif %}{% if answer.value.display = 'IFH' %}IFH{% endif %}{% if answer.value.display = 'RAMQ' %}RAMQ{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='273459321091') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other payer&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='274716928898') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Select Exam Request(s)&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='966479448516') %}{% if currentItem.answer.exists() %}  <p style="display:none;"/>
{% for answer in currentItem.answer %}{% if answer.value.code = '77477000' %}Computerized axial tomography{% endif %}{% if answer.value.code = '113091000' %}Magnetic resonance imaging{% endif %}{% if answer.value.code = '363680008' %}Radiographic imaging procedure{% endif %}{% if answer.value.code = '16310003' %}Ultrasound Requisition{% endif %}{% if answer.value.code = '241686001' %}Dual energy X-ray absorptiometry (procedure){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='324277291256') %}  <span style="font-weight:bold;">&lt;strong&gt;Triage Considerations&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='649843000897') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">Requested Priority</span>
{% for answer in currentItem.answer %}{% if answer.value.code = 'routine' %}Routine{% endif %}{% if answer.value.code = 'urgent' %}Urgent{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='871328372177') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Reason for urgent triage&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='751330438729') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;CT Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='573180718837') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='234264354051') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;MRI Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='980027687215') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='674405234837') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;X-Ray Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='510703120136') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='536888455666') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;Ultrasound Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='296349058128') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='189996950901') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;BMD Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='799876967585') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='351905130587') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;Supporting Documentation&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='707642937857') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='cpp_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Cumulative Patient Profile&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='cpp_separate') %}{% if currentItem.answer.exists() %}&lt;strong&gt;CPP attached separately&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'CPP attached separately (if not entered below)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentprob') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Current Problem List&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_pastmedicalhistory') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Past Medical History&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentmedications') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Current Medication&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_familyhistory') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Family History&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_allergies') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Allergies&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='preferredconsultlocation_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Preferred Consultant or Location&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_selector') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred consultant or location&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred consultant or location' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_specify') %}Please specify either a   <b>preferred</b>
 consultant or location  <br/>
{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_consultant') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Consultant&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_location') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Location&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_willingtotravel') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Patient willing to travel for shorter wait time&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Patient willing to travel for shorter wait time' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_otherconsiderations') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='supportingdocumentation_header') %}  <span style="font-weight:bold;">
    <p>
      <strong>Supporting Documentation</strong>
    </p>
    <p>
Please attach all       <strong>
<span style="text-decoration: underline">relevant</span>      </strong>
 laboratory and diagnostic investigations.
    </p>
  </span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='supportingdocumentation_details') %}{% if currentItem.answer.exists() %}  <p style="display:none;"/>
{% for answer in currentItem.answer %}{% if answer.value.display = 'Personal Health Information that is medically relevant has not been disclosed at the request of the patient.' %}Personal Health Information that is medically relevant has not been disclosed at the request of the patient.{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='supportingdocumentation_attachment') %}{% if currentItem.answer.exists() %}Add Attachments{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='referrer_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Referrer's Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='referrer_sitename') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Site Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_line1') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address (Line 1)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_line2') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address (Line 2)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_city') %}{% if currentItem.answer.exists() %}&lt;strong&gt;City&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_province') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Province&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_postalcode') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Postal Code&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_phone') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Phone #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_fax') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Fax #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_billing') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Billing Number&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_professionalid') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Professional ID&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_signature') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Signed&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_role') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Role&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = '309398001' %}Allied Health Professional{% endif %}{% if answer.value.code = '62247001' %}Family Physician{% endif %}{% if answer.value.code = '449161006' %}Physician Assistant{% endif %}{% if answer.value.code = '398130009' %}Medical Student{% endif %}{% if answer.value.code = '106292003' %}Nurse{% endif %}{% if answer.value.code = '224571005' %}Nurse Practitioner{% endif %}{% if answer.value.code = '405277009' %}Resident{% endif %}{% if answer.value.code = '69280009' %}Specialist{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}
</div>
",
"contentType": "text/html"
} ],
"description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
"resourceType": "Library"
} ],
"status": "active",
"language": "en",
"id": "05e4648f-c8cd-4296-adc8-c3542337b257",
"kind": null,
"url": "urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f",
"_title": {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test short string"
} ]
},
"version": "0.0.1",
"effectivePeriod": {
"start": "2025-07-29"
}
}